HASSAN ALI DBOUK (MD) – Pediatric Sleep Medicine Physician, NPI 1790807675
Pediatric Sleep Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,709 PEDIATRIC MEDICINE in OH
Provider Addresses for HASSAN ALI DBOUK (MD)
3535 Southern Blvd
Kettering, OH 454291221
Phone: (937) 641-4000
Type: Location
1400 E 2nd St Ste 100
Defiance, OH 435129905
Phone: (419) 251-6430
Type: Location
730 W Market St
Lima, OH 458014602
Phone: (419) 251-6430
Type: Location
2121 HUGHES DR
TOLEDO, OH 436063845
Phone: (419) 291-2207
Fax: (419) 479-6998
Type: Location
5005 W DAUBER DR
OTTAWA HILLS, OH 436152173
Phone: (059) 875-8653
Type: Mailing
2222 Cherry St Ste 2900
Toledo, OH 436082675
Phone: (419) 251-6430
Type: Location
272 Hospital Rd
Chillicothe, OH 456019031
Phone: (740) 779-7500
Type: Location
3333 W Tech Rd
Miamisburg, OH 453420955
Phone: (937) 641-4000
Fax: (937) 641-6492
Type: Location
500 W Market St
Tiffin, OH 448832610
Phone: (419) 251-6430
Type: Location
PO BOX 933432
CLEVELAND, OH 441930039
Phone: (937) 641-5072
Fax: (937) 641-6129
Type: Mailing
1 CHILDRENS PLZ
DAYTON, OH 454041815
Phone: (937) 641-4000
Fax: (937) 641-6492
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($67).
Total Amount
$122
General + Research + Ownership
Payments
7
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160510000870 | I | Pediatric Medicine | OH | TBD |
| I20241120001053 | I | Pediatric Medicine | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Urology | OH | |
| - | OH | |
| E N D O C R I N O L O G Y | OH | |
| Orthopedic Surgery | OH | |
| Pediatric Medicine | OH | |
| Pediatric Medicine | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | MI | |
| Pediatric Medicine | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | OH |
Reviews
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